Cervical arthritis: causes, clinical signs and treatment
Cervical arthritis is an inflammation of the joint in the cervical spine, which causes stiffness, swelling, and pain. This disease can be of two types: osteoarthritis (cervical spondylosis) and rheumatoid arthritis.
Causes of cervical arthritis
Cervical spondylosis occurs in old age, in 85% of cases in people after sixty years of age. Usually the four lower vertebrae of the cervical spine (4th to 7th) are affected. Inflammation very rarely occurs in the upper cervical vertebrae.
The cause of cervical spondylosis is aging of the intervertebral discs. As a result of increased stress on the facet joints of the vertebrae, bone spurs appear. They compress the nerve roots and limit neck movements.
After ten years of rheumatoid arthritis, the cervical spine is involved in the pathological process in 80% of cases. The synovial tissue in the joints between the back of the head and the first two cervical vertebrae is affected. More often it is the first two vertebrae that become inflamed.
Risk factors (for both forms of cervical arthritis):
- hereditary predisposition;
- history of neck and back injuries;
- physical activity (sitting half-bent position, incorrect posture, excessive activity of the cervical spine);
- inflammation of joints of various etiologies;
- osteochondrosis;
- osteoarthritis;
- natural aging of the body (wear of intervertebral discs, proliferation of bone tissue);
- hypothermia;
- smoking (a connection has been found between smoking and degenerative changes in the cervical vertebrae).
Symptoms of Neck Arthritis
Clinical signs of the disease:
- stabbing pain in the back of the neck, radiating to the lower region of the head, shoulders, elbow joints or fingers;
- muscle weakness in the cervical region;
- headache concentrated in the back of the head;
- crunch of vertebrae;
- weakness, tingling and cramps in the arms and legs;
- cervical stiffness;
- swelling and redness of the skin in the affected area.
Cervical spondylosis rarely results in permanent deformity or disability. Rheumatoid arthritis of the neck progresses without proper treatment. In both cases, early diagnosis is important. The degree of bone degeneration is determined using X-rays or MRI.
Treatment of arthritis of the cervical spine
Methods of conservative treatment:
1) Physiotherapeutic procedures:
- traction (dry traction of the cervical vertebrae, which reduces compression of the spinal nerves and facet joints);
- acupuncture;
- electrical stimulation;
- vacuum therapy;
- gentle methods of manual therapy;
- magnetopuncture;
- laser therapy;
- pharmacopuncture;
- massage (for muscle relaxation).
2) Therapeutic gymnastics (a set of exercises is selected by a specialist taking into account the degree of the disease and the condition of the body).
3) Wearing a soft cervical collar (allows you to keep your neck in the correct position, limits painful movements, allows your muscles to rest; but constant wearing weakens the neck muscles).
- Arthritis of the cervical spine: what it is, causes, treatment, symptoms, signs
- non-steroidal anti-inflammatory drugs (for example, Aspirin, Piroxicam, Ibuprofen and others);
- muscle relaxants (relieve spasms that occur in response to pain);
- anticonvulsants (help cope with pain);
- steroid injections (injections into the area of the compressed nerve root, reduce swelling of the inflamed nerve, due to which the pain subsides; prescribed for severe pain);
- injections into the area of the facet joint (the same steroid drugs with a local anesthetic are injected);
- blockade with radiofrequency ablation (a steroid with an anesthetic is injected into the nerve area, then the affected nerve process is destroyed through radiofrequency ablation).
Surgical treatment is indicated if months of conservative treatment does not produce results. Methods:
- implantation of an artificial intervertebral disc (the damaged disc is removed and an artificial one is implanted in its place);
- anterior or posterior cervical discectomy (prescribed for the presence of osteophytes or a slipped disc; the degenerative intervertebral disc is removed and a fusion is created between the vertebrae);
- cervical laminectomy (only those vertebral elements that put pressure on the nerve roots or spinal cord are removed);
- cervical foraminotomy (the canal through which the nerve root comes from the spinal cord is widened).
Treatment methods for neck arthritis are selected depending on the patient's condition.
Source: tvoyaybolit.ru
Symptoms
Headaches associated with the neck ( cervicocranialgia ), as a rule, have a certain connection with a neck injury and in such cases the headache can be on one side, the pain can be at the base of the skull, forehead, in the parietal part around the eyes. As a rule, the pain begins in the neck area and in most cases is not pulsating or sharp.
Other features of headaches associated with neck pain are the frequent presence of symptoms such as nausea, sensitivity to sound and light, dizziness, difficulty swallowing, blurred vision (often only on the side of the headache), watery eyes and sometimes vomiting, in those cases where the pain is of a serious origin. Sometimes there is swelling around the eye on the side of the head where the pain is felt. The pain may worsen with shoulder movement. The intensity of headaches can range from mild to severe, lasting from several hours to several days or even weeks.
Headaches associated with the neck must have at least one of the following characteristics:
1. Headache should be preceded by:
- Movement in the neck
- Prolonged uncomfortable head position
- Pressure on the upper half of the neck or base of the skull on the side of the headache
2. Limited range of motion in the neck
3. Pain in the neck, shoulder or arm
If all three properties are present, then most likely the headache is caused by problems in the neck.
Characteristics of neck-related headaches
- Often there is a medical history of neck injury (cervical spine contusion, sprain, subluxation of facet joints)
- Unilateral headache
- Sometimes the pain can be on both sides
- Pain is localized at the base of the skull, forehead, sides of the head, or around the eyes
- The pain may last for several hours or days
- Headache usually starts in the neck area
- Headache intensity ranging from moderate to severe
- Headache not throbbing
- The pain is not sharp
Other features that are noted with headaches associated with the neck:
- Nausea
- Sensitivity to sound
- Sensitivity to light
- Dizziness
- Difficulty swallowing
- Blurred vision on the side of the headache
- Vomit
- Tearing on the side of the headache
- Swelling around the eyes on the side of the headache
Arthrosis of the cervical spine - causes, treatment
Arthrosis of the cervical spine is a disease that manifests itself in the form of deformation of the intervertebral discs and joints in the cervical spine. The main symptom of this disease is the appearance of pain in the specified area.
Causes of arthrosis in the cervical spine
One of the most common causes of this disease is high physical activity. Often, arthrosis of the cervical spine occurs due to incorrect body position during prolonged physical work - the condition of the cartilage and soft tissues surrounding the spinal column is equally negatively affected by both excessive static and dynamic loads, which disrupt the normal blood supply to this anatomical area.
Most often, the cause of arthrosis of the cervical spine is high loads.
Any injuries to the neck and back can also trigger the development of arthrosis of the cervical spine, and several years may pass between the moment of injury and the appearance of the first symptoms of the disease. We must also not forget about inflammation of the spinal column, joint dystrophy and deformation of the intervertebral discs. All these phenomena can be traumatic in nature or develop due to aging of body tissues in old age.
Uncovertebral arthrosis of the cervical spine, already at the very beginning of its development, can lead to the appearance of unusual sounds when moving the joints. This is a crunching or clicking sound when you turn your neck. Over time, pain appears after intense physical activity, or during it. In serious stages, pain is not related to the level of physical activity and can bother the sufferer even at rest.
With pathological changes in cartilage characteristic of this disease, pinching of nerves and blood vessels often occurs. This can manifest itself in the occurrence of severe headaches. numbness of the lower half of the face, frequent feeling of dizziness, increased blood pressure - patients develop severe circulatory failure in the vertebrobasilar region (vertebral artery syndrome), which can negatively affect the patient’s general well-being and ability to work. However, taking conventional painkillers and drugs for the treatment of hypertension does not bring relief.
A fairly specific cause of this disease is a dysfunction of the thyroid gland.
- Arthritis 3 degrees
Timely diagnosis is the key to successful treatment
If you have any of the listed symptoms, you should urgently consult a doctor - timely diagnosis of arthrosis of the cervical spine and its complications becomes the key to normalizing the patient’s condition and helps to select a treatment program.
The sooner the disease is diagnosed, the faster and more successful its treatment. To make an accurate diagnosis, you will need to take an x-ray of the cervical spine in several projections.
Often, tomography and vascular angiography are performed as auxiliary studies - these research methods not only help diagnose arthrosis of the cervical spine, but also determine the exact localization of the pathological process.
Manual therapy. massage and physical therapy help cure arthrosis of the cervical spine.
The main areas of treatment for this disease are manual therapy, massage and physical therapy. It is also possible to prescribe medications to relieve inflammation and hormonal medications.
In order to speed up the treatment process, it is recommended to use special orthopedic bedding and means for skeletal traction of the cervical spine (Schanz collar). The patient should also monitor his position while walking and sitting for long periods - it is recommended to try to keep his back straight.
Therapeutic exercises must be performed with extreme caution. If pain occurs during exercise, you should stop doing this exercise and immediately consult your doctor.
The exercises of the therapeutic gymnastics complex for the correction of such a disease as deforming arthrosis of the cervical spine are simple. This can be head turns, side tilts, circular rotations. They must be prescribed by a doctor. You can do it at home, focusing on your own feelings.
Since arthrosis of the cervical spine does not have the most pleasant symptoms, a person’s mental state may suffer due to the disease. Increased nervous excitability, states of depression and apathy often arise due to prolonged pain. In this case, additional treatment with antidepressants may be prescribed.
Prevention is better than cure
To prevent the development of arthrosis of the cervical spine, stable moderate physical activity is recommended. Ideally, perform a short set of simple neck exercises several times a day. It is also necessary to ensure a balanced diet. Maintaining correct posture also plays an important role in preventing spinal problems. To do this, it is also recommended to lead an active lifestyle and monitor the correct position of your back during the day.
- Arthritis of the spine: symptoms, classification, treatment methods
Give your health enough time and do not hesitate to contact the hospital if you experience any unusual sensations.
- Source: vashaspina.ru
What is cervical arthritis and how is it treated?
Stiffness of movement, severe headaches, swelling - all these are signs indicating cervical arthritis. Treatment of neck arthritis is aimed at overcoming factors that provoke inflammation and restoring the functions of damaged joints.
Causes and symptoms of neck arthritis
Before prescribing treatment for cervical arthritis, a rheumatologist will try to determine the etymology of the disease. The effectiveness of therapy largely depends on obtaining an accurate clinical picture.
Medical practice has shown that the most common types of arthritis of the cervical spine are:
- Osteoarthritis or spondylosis.
- Rheumatoid arthritis.
Spondylosis begins due to disturbances in the structure of the spinal column. Often changes occur due to age-related changes and the formation of bone spurs. Neck disease with arthritis is quite common due to the formation of a hernia or protrusion in the cervical spine. The disease is characterized by the following symptoms:
- Stitching radiating pain.
- Muscle weakness in the cervical region.
- Crunching and clicking of the neck when turning the head.
- Cramps.
- Stiffness in movements.
Rheumatoid arthritis - begins due to a previous infectious disease. The first sign of pathology is a sudden inflammatory process affecting bone and joint tissue.
Untimely prescribed drug treatment for cervical arthritis leads to destruction of the cartilage structure.
The clinical picture of the disease is as follows:
- Pain syndrome. In the early stages it is felt only in the morning. The patient has neck pain, stiffness in movements, and swelling.
- Redness of the skin.
- Tingling in arms and legs.
- Increased size of the cervical lymph node.
- High blood pressure is usually observed with serious disorders of the structure of the cervical vertebrae. In later stages, rheumatoid arthritis affects the functioning of internal organs and the cardiovascular system. Pressure surges in this case become a common symptom.
- Joint deformity. The inflammatory process affects the synovium of the joint. As a result, degenerative changes occur within a few months. There are several deformities characteristic of rheumatoid arthritis, these are: swan neck
- button loop
- ulnar deviation
At the first symptoms of the disease, you should seek professional help. A timely prescribed course of therapy can stop the development of arthritis and prevent the onset of irreversible deforming changes.
How to treat cervical arthritis
Treatment of arthritis is aimed at achieving two main goals:
- Termination of the inflammatory process.
- Restoring neck mobility and other basic functions.
Treatment for cervical arthritis begins with fighting inflammation. A course of antibiotics is recommended. Indications for this are enlarged lymph nodes in the neck, which often indicates an infectious lesion of the joints.
Immediately after the end of antibacterial therapy, injections of anti-inflammatory drugs are prescribed. NSAIDs reduce swelling and fight inflammation.
The patient is recommended to use special ointments as a local anesthetic. Ointments provoke irritation of skin areas, providing an analgesic effect and providing increased blood flow. The most effective ointments and gels for cervical arthritis are made from bee or snake venom and often contain NSAIDs.
Source: ponchikov.net
Headaches and dizziness, weakness, attacks of nausea, poor appetite, fever - these symptoms may be the first signs of incipient inflammation in the cervical spine. Rheumatoid arthritis of the spine is one of the age-related diseases, as it is closely related to the natural aging of connective tissues and intervertebral discs.
Diagnosis and causes of rheumatoid changes
Symptoms of spinal rheumatoid arthritis can be confirmed by a number of clinical studies, including:
- x-rays;
- general and biochemical blood tests (anemia, increased ESR and C-reactive protein);
- analysis of joint fluid (increased levels of leukocytes and neutrophils, low viscosity, turbidity);
- urine test (presence of protein).
In addition, serum studies in patients with rheumatoid arthritis of the cervical spine record increased levels of urea and creatinine.
Pathological changes can be caused by infections, injuries to soft and bone tissues in the cervical region. Increased stress on the skeleton caused by heavy or monotonous work is also not beneficial.
An unbalanced diet is fraught with two factors that negatively affect health: excess weight, which puts stress on the joints, and a lack of such important components in the body as vitamin D and calcium. It is worth mentioning bad habits, which can become an additional catalyst for destructive processes.
In particular, heavy smokers suffer more serious complications from rheumatoid arthritis of the neck and spine .
Methods for treating arthritis in the cervical spine
The main thing to understand is that treatment should begin immediately after the symptoms of rheumatoid arthritis of the cervical spine are confirmed by appropriate clinical studies and the doctor makes a final diagnosis.
It should be noted that this process is quite long and complex, both physically and psychologically. After all, the disease destroys cartilage tissue, deforms joints, which, in turn, promotes contractures and is accompanied by pain that can plunge patients into depression.
The disease recedes only with serious complex treatment, including forms such as:
- drug therapy (anti-inflammatory, hormonal, muscle relaxants, chondroprotectors, cytostatics);
- physiotherapy (magnetic therapy, electrophoresis, phonophoresis, ultraviolet irradiation, etc.);
- physiotherapy;
- massage.
If the disease is advanced and the body does not respond to therapy, surgical intervention is required. Do not neglect folk remedies. And remember that timely diagnosis and strict adherence to prescribed treatment gives a positive prognosis.
And physical education, an active lifestyle, giving up bad habits, dosed loads on the cervical vertebrae and eliminating traumatic factors, timely treatment of viral and infectious diseases will minimize the likelihood of developing dangerous rheumatoid arthritis.
Neck pain Diagnosis Treatment
Source: https://artrity.net/vidy-artritov-i-artrozov/revmatoidnyj-artrit/revmatoidnyj-artrit-pozvonochnika-s-lokalizatsiej-v-shejnom-otdele/
Symptoms and treatment of rheumatoid arthritis
Rheumatoid arthritis most often affects the joints of the extremities. The first symptom of rheumatoid arthritis that should alert you is a feeling of stiffness in movements in the morning, after sleep, while the body has not yet warmed up and “developed”. Over time, the pain increases and appears more often, the joints swell. Possible inflammation of the lymph nodes.
If treatment for rheumatoid arthritis is not started on time, the disease becomes noticeable externally: the joints become severely deformed. For example, the hands may become twisted, and large subcutaneous lumps will form at the joints.
Thus, the symptoms of rheumatoid arthritis become visible to the naked eye.
However, damage to rheumatoid arthritis is frightening not only because of its significant aesthetic drawback. First of all, these are acute pain and limited mobility. About 70% of all those suffering from this type of arthritis become disabled.
If inadequately treated, the terrible symptoms of rheumatoid arthritis lead to complications (usually kidney failure) and death.
We recommend that you listen more carefully to your own feelings and, if necessary, seek advice from a doctor. Particular attention to joint health should be paid to people prone to frequent colds. The development of the disease occurs quite quickly. It is important not to waste precious time.
It is also a mistake to reduce the treatment of rheumatoid arthritis to taking painkillers. On the one hand, analgesics only dull the pain, but do not in any way affect the cause of the disease. And in the case of rheumatoid arthritis, it is important to normalize the body’s defense mechanisms and restore immunity. On the other hand, taking medications often leads to side effects, affecting the stomach, kidneys and further aggravating the course of the disease.
Cervical arthritis as a problem of the modern generation
Neck arthritis
The disease is very common, occurs everywhere, does not depend on the gender of the patient. Just a couple of decades ago, this pathology was characteristic of older people. But in recent years there has been a trend towards rejuvenation of the disease - cervical arthritis is often diagnosed in young people.
There are two diseases related to arthritis of the neck (cervical spine):
- Spondylosis of the neck.
- Rheumatoid arthritis.
The clinical symptoms will be similar, but the main differences lie in the causes of the disease.
Clinical signs of neck arthritis
Symptoms | Rheumatoid arthritis | Spondylosis |
Pain | mostly morning | stabbing in nature, often with irradiation |
Muscle weakness | No | Yes |
Crunch | No | Yes |
Mobility restrictions | eat, mostly in the morning | Yes |
Swelling of soft tissues | There is | No |
Paresthesia | There is | No |
Reaction of regional lymph nodes | increase in size | No |
Skin coloring | redness | regular |
Fluctuations in blood pressure levels | promotion | No |
External manifestations | swan neck | No |
Causes of the disease
Rheumatoid arthritis develops after a previous infectious process (usually viral), as a consequence of a pathology of the immune system.
Displacement of the cervical vertebrae. Instability or hernia?
Also, a huge role belongs to the hereditary factor (predisposition is passed from parents to children).
Diagnostics
Making a diagnosis includes several activities:
- Examination by a doctor (neurologist, therapist, traumatologist, rheumatologist) to determine pathology of the nervous, osteoarticular and immune systems. They also analyze the biochemical composition of the blood (C-reactive protein and rheumatoid factor), determine specific immunoglobulins, sugar levels, liver enzymes and blood proteins.
- Performing radiography in frontal and lateral projections, if necessary, in functional positions. An x-ray allows you to assess the severity of the degenerative-dystrophic process of bone tissue and identify scalene deformity.
- Performing magnetic resonance imaging gives an idea not only of the condition of the bones, but also of the intervertebral discs, ligaments, muscles, and the degree of narrowing of the spinal canal. The study is contraindicated for persons with metal implants or artificial pacemakers. Tomography makes it possible to resolve the issue of the need for surgical intervention.
- Ultrasound examination of the spine.
Treatment methods
There are two types of therapy: conservative and surgical.
Conservative methods include fixation of the affected area, massage, therapeutic exercises, and the use of anti-inflammatory, hormonal, cytostatic and vascular agents. For fixation, use a Shants collar (hard or soft).
Inspections are carried out once a quarter. If there is no sign of progression, radiographs are performed only once a year.
The conservative method is suitable for patients who have signs of vertebral instability, but there are no neurological symptoms.
Surgery (laminectomy) is indicated for people with severe neurological manifestations and subluxations in the cervical spine. The goal of surgery is to relieve pressure on the spinal cord.
The operation is very traumatic; as a result, progression of scalene deformity, scar formation and kyphosis can be observed. The method is not effective if there is compression on the anterior surface of the spinal canal.
It is also possible to realign the discs, but only if they are slightly displaced.
Therapy for spondylosis
Treatment for neck arthritis
Treatment is complex with the use of medications (anti-inflammatory non-steroidal drugs and hormones), intra-articular administration of medicinal solutions and application of compresses with aminophylline, analgin and heparin.
Good results are achieved by exposure to ultraviolet light and magnets on the affected area, paraffin applications, therapeutic massage and gymnastics.
The course of the disease is long-term and chronic. The prognosis with proper treatment is favorable. Patients remain active and quality of life does not suffer.
Prevention of cervical arthritis consists of adequate treatment of infectious and inflammatory processes, prevention of spinal injuries, giving up bad habits, dosing physical activity and timely seeking help from doctors.
Source: https://artritu.net/shejnyj-artrit
Chronic arthritis: types of disease, diagnosis in children and adults, signs of definition
Recommendations from an orthopedist and rheumatologist...
Chronic arthritis is a joint disease that is extremely difficult to treat. If its development is not stopped, the person loses the ability to move normally and becomes disabled. How to identify and prevent the development of pathology?
Features of the disease
reading information
Let's consider the features of chronic arthritis in order to understand the nature of its occurrence and the main goals of therapy.
Symptoms of pathology
At the initial stages of the disease, not everyone is able to notice the signs of chronic arthritis. Its symptoms do not cause much concern until a certain point. In the future, pain and anatomical distortions of the affected joints are added.
Arthritis symptoms:
- stiffness of movement, especially in the morning;
- swelling of the joints;
- attacks of pain;
- subluxations;
- joint deformation;
- general weakness;
- weight loss;
- possible increase in body temperature.
Some forms are characterized by symptoms affecting mucous and skin surfaces. For example, with reactive arthritis, the conjunctiva of the eyes becomes inflamed, a rash and peeling appears on the skin and genitals, and stool disorders occur.
Symptoms of reactive arthritis
Important: chronic reactive arthritis has a more rapid course. It develops over a month and has a large impact area.
Reasons for development
The exact causes of the disease cannot always be determined. The primary form of pathology can develop due to the influence of such factors:
- hypothermia;
- injury;
- allergy;
- significant physical stress on the joints;
- obesity;
- hyperinsolation;
- genetic predisposition.
Secondary arthritis often develops against the background of other diseases, for example, diabetes, psoriasis, sarcoidosis, etc. The main role for this type of pathology is played by infections: specific and nonspecific. The first include tuberculosis, syphilis, the second - sinusitis, hepatitis and the like.
We also recommend that you pay attention to the article: “What is seronegative rheumatoid arthritis.”
Stress and infections can trigger arthritis
Chronic arthritis in children and women can develop against the background of hormonal changes occurring in the body. The risks increase if there is a hereditary tendency to pathologies of the musculoskeletal system.
Read also
Systemic vasculitis
Systemic vasculitis is characterized by inflammation of the walls of blood vessels.
Any type of vessel in any organ may be affected, resulting in a wide range of signs and symptoms. Heterogeneous… Read more
Coxarthrosis of the hip joint
Clinical manifestation of coxarthrosis of the hip joint Arthritis can easily develop in the hip joint, which under certain conditions can lead to damage to the articular cartilage. The most common...
More details
Bursitis
Bursitis is a painful condition that affects small fluid-filled sacs—bursae—that cushion the movement of bones, tendons and muscles near joints. Bursitis occurs when...
More details
Mesh pattern on the body
A reticular pattern on the body is characterized by the appearance of skin coloring in the form of a network due to vascular damage. This phenomenon is described as a reticulated bluish discoloration against a background of pale skin. Mesh pattern...
More details
Arteritis
Swelling and swelling of the arteries in the temple can be caused by temporal arteritis, a condition in which the temporal arteries, which supply blood to the skull and brain, become damaged and inflamed. This…
More details